78774A_Ellis, Michael_20201026

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CCAMA J :_ DREDGE &FILL O 78 t "74 B C D
GENERAL PERMIT Previous permit #
*ew Modification Complete Reissue -:-'Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 2bo
H. i ?.,11C>
t i " Rutees attached.
Applicant Name._ _ .M.A,f;,�.td, __�-U4 ___ _....__ _ Project Location: County ... ........... _.D-a4e'r__--------- __._
Address _ Li L 390 ..._t � +! _ �:t:. i t _- . -- _ Street Address( State Road/ Lot #(s) J_C q .._W ir►5t�_.
City .._._%' KkaA -_--.-----___.._. State VA ZlP.-,Z&C
Phone # E-Mail P.kbj-1ji_�'q g+11Subdivision
Authorized Agent _ A1.t.1!�.:��"t?Y1j�, k�i.A.✓.t.l!� C0MCity --,-M— .-0w%1-E1C 0
Affected -- cw 'XEW KPTA _ ES PTS Phone # (^) River Basin Pt ,�}>wtt
AEC(s): OEA HHF IH UBA /A Adj. Wtr. Body C .... _........ ......... ma ,funknj
PWS:
QRW: yes ! PNA yes / tiJ Closest Maj. Wtc Body
Type of Project/ Activity 1 �' t X 1 3 I b opt + I i �+- U*\COViff ' /4
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger piers}_
Groin length ,
number �r
Bulkhead( Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse Boadift _
AA-Vld ovleye41-__
Beach Bulldozing
t
Other
f.7
- - .... ......
Shoreline Length 1 150 t
SAV: not sure yes
Moratorium: 0 yes no
Photos: CZ) no
Waiver Attached: yes 9
ow
.►,
A building permit may be required by: t a*'e Cpy4 tic44
( Note Local Planning Jurisdiction)
Notes/ Special Conditions i71 mat ei `d"_ [fin P_V-.-i A/a �et L }i a
ge rA. .. t'rintedName
Si ur on back of permit #
2 on . 0 C) irl py 121,o__
APPficatior Fee(s)
(State: p4-rs )
r_
CKW A L
_.. See note on back regarding River Basin rules.
Permit Officer's Printed Nam
e
__.. _. 1it+l/Y',!i"ti.,.._ ._.. _ ....._ __........ ... ._ ........ _..__.__...____.._.__...._.
Signature wv
Issuing ate Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 1012/2020
Name of Property Owner Applying for Permit:
Michael Ellis
Mailing Address:
14438 Riverside Drive
Ashland Virginia 23005
I certify that I have authorized (agent) Millstone Marine
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) Install a new Boat Lift
at (my property located at) 119 Peninsula Drive, Manteo N.C. 27954
is vilid thou (date) 1 /31 /2021
r-
Property Owner Signature
10/2/2020
Date

1 I 2020 Gmail - Fwd: Boat Lift
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On Oct 2, 2020, at 9:01 AM, Mike Ellis <mellis10979 cr gmail.com> wrote:
MrKohne
My name is Mike Ellis and I am you new neighbor to your left. I bought Frank's house a
couple of months ago an would like to install a boat lift. Attached is a document that
acknowledges the notification. If you could sign and send back to me via email would be
appreciated.
Thanks and hope to meet you next time you are in town.
https:ltmail.googie.comlmaillulO?ik=l 8bObl 2d7e&view=pt&search=all&permthid=thread-f%3Al679720731386752842%7Cmsg-f%3A1679720731386... 2/3

1016/2020
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This map is prepared
from data used for the
'i Clif,•
irwentory of the real
property for tax
purposes. Primary
saes
"information
sources such
I'""
t
as recorded deeds, plats,
d
wills, and other primary
public records should be
consulted for verification
of the information
contained in this map.
119 Peninsula DR
Manteo NC, 27954
Parcel: 025818023
Pin: 978912964815
Owners: Ellis, Michael 0 -Primary
Owner
Ellis, Jeanine Wise -Primary Owner
Land Value: $148,000
Misc Value: $30,000
Building Value: $391,100
Total Value: $569,100
Tax District: Manteo In
Subdivision: Peninsula Subdivision
Lot BLK-Sec: Lot: 22 Blk: Sec:
Property Use: Residential
Building Type: Beach Contemporary
Year Built: 2005

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This map is prepared
from data used for the
119 Peninsula DR
inventory of the real
Manteo NC, 27954
property for tax
purposes. Primary
J1
`a i
x w^
Tax District: Manteo In
Subdivision: Peninsula Subdivision
Lot BLK-Sec: Lot: 22 Blk: Sec: